<form action="http://127.0.0.1:8000/register/" method="POST" onsubmit="return validate(this);" enctype="multipart/form-data" name="regform">

                  <table width="100%" cellspacing="0" cellpadding="0" border="0">
                  <tbody><tr>
                    <td width="24%"><a href="http://www.chinaedugrp.com/"><img width="155" height="73" border="0" alt="logo" src="images/ceglogo.gif"></a></td>
                    <td width="2%"><div align="center"><img width="1" height="68" src="images/line.gif"></div></td>
                    <td width="74%">Room  E, 29F, Tower 1, Admiralty  Center, 18 Harcourt Road, Admiralty, Hong Kong.<br>
Tel:  852-25277999/35292766/25370336/25370418 Fax: 852-25370549<br>
Email:  <a href="mailto:stanfordsmp@chinaedugrp.com">stanfordsmp@chinaedugrp.com</a>;
					<a href="mailto:stanfordhk@chinaedugrp.com">stanfordhk@chinaedugrp.com</a></td>
                  </tr>
                </tbody></table>
                <p><a href="http://www.chinaedugrp.com/"></a> <br>
                  <strong class="STYLE14">Reply Slip</strong><br>
                  <br>
                Please send me more information of:<br>

			    <input type="checkbox" value="17" name="projectids" checked="checked">
                Stanford Senior Executive Program<br>

				<input type="checkbox" value="3" name="projectids" checked="checked">
                Stanford Financial Engineering Program</p>
                <table width="100%" height="212" cellspacing="1" cellpadding="3" border="0" bgcolor="#c0c0c0" align="center">
                  <tbody><tr>
                    <td width="21%" valign="middle" bgcolor="#f6f6f6" class="STYLE7"><span class="STYLE11">&#12288;*</span> Name : </td>
                    <td width="79%" height="24" bgcolor="#FFFFFF"><input type="text" size="30" id="name" value="hzj1" name="name"></td>
                  </tr>
                  <tr>
                    <td valign="middle" height="20" bgcolor="#f6f6f6" class="STYLE7">&#12288;Job Title : </td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="text" size="30" id="job_title" value="hzj1" name="job_title"></td>
                  </tr>
                  <tr>
                    <td valign="middle" height="18" bgcolor="#f6f6f6" class="STYLE7">&#12288;Company : </td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="text" size="30" id="company" value="hzj1" name="company"></td>
                  </tr>
                  <tr>
                    <td valign="middle" height="18" bgcolor="#f6f6f6" class="STYLE7"><span class="STYLE11">&#12288;*</span> Tel : </td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="text" size="10" id="tel_h" value="111111" name="tel_h">
                        <span class="STYLE7">(H)</span>
                        <input type="text" size="10" id="tel_o" value="111111" name="tel_o">
                        <span class="STYLE7">(O)</span>
                        <input type="text" size="10" id="tel_m" value="111111" name="tel_m">
                        <span class="STYLE7">(M)</span></td>
                  </tr>
                  <tr>
                    <td valign="middle" height="18" bgcolor="#f6f6f6" class="STYLE7"><span class="STYLE11">&#12288;*</span> E-mail : </td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="text" size="30" id="email" value="hzj1@qq.com" name="email"></td>
                  </tr>
                  <tr>
                    <td valign="middle" height="16" bgcolor="#f6f6f6" class="STYLE7"><span class="STYLE11">&#12288;*</span> Address : </td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="text" size="30" id="address" value="hzj1" name="address"></td>
					<input type="hidden" id="agentname" value="" name="agent">
                  </tr>
				  <input type='hidden' name='agent' value=''/>
                  <tr>
                    <td valign="middle" height="16" bgcolor="#f6f6f6" class="STYLE7"><span class="STYLE11">&#12288;*</span> <strong>Required fields</strong></td>
                    <td valign="top" bgcolor="#FFFFFF">&nbsp;</td>
                  </tr>
                  <tr>
                    <td valign="middle" height="16" bgcolor="#f6f6f6" class="STYLE7">&nbsp;</td>
                    <td valign="top" bgcolor="#FFFFFF"><input type="submit" value="Submit" name="Submit">
                        <input type="reset" value="Reset" name="Submit2"></td>
                  </tr>
                </tbody></table>
                <p>&nbsp; </p></form>